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A Study To Investigate The Pharmacokinetics, Safety And Tolerability Of An Intravenous And Oral Form Of A Compound In Subjects With Varying Degrees Of Renal Impairment And Normal Renal Function

An Open-label, 2-way Crossover Study To Investigate The Pharmacokinetics, Safety And Tolerability Of Iv Cp-70429 And Oral Pf-03709270 In Subjects With Varying Degrees Of Renal Impairment And Normal Renal Function

Status
Completed
Phases
Phase 1
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT00759564
Enrollment
29
Registered
2008-09-25
Start date
2008-11-30
Completion date
2010-03-31
Last updated
2016-03-11

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Pneumonia

Brief summary

This study will evaluate what effect renal dysfunction has on a drug that has an intravenous (CP-70,429) and an oral form (PF-03709270).

Detailed description

To evaluate the pharmacokinetics and safety.

Interventions

DRUGCP-70,429 and PF-03709270

Study Periods 1 and 2 will be separated by a minimum of 14 days. In Period 1, subjects will receive a single dose of CP-70429 (800 mg given as a 1.5 hour intravenous infusion), while in Period 2, subjects will receive a single oral dose of PF-03709270 (1000 mg).

Sponsors

Pfizer
Lead SponsorINDUSTRY

Study design

Allocation
NON_RANDOMIZED
Intervention model
CROSSOVER
Masking
NONE

Eligibility

Sex/Gender
ALL
Age
18 Years to 85 Years
Healthy volunteers
Yes

Inclusion criteria

Subjects must meet one of the following renal function categories: * Normal renal function (CLcr \>80 mL/min). * Mild renal impairment (CLcr \>50 and \<80 mL/min). * Moderate renal impairment (CLcr \>30 and \<50 mL/min). * Severe renal impairment (CLcr \<30 mL/min).

Exclusion criteria

Women who are pregnant or nursing or women who are of childbearing potential. History of clinically significant allergies, including seasonal allergies, and especially drug hypersensitivity including known allergies to components of the study drug formulation, penicillin, carbapenems and/or cephalosporin antibiotics (eg, amoxicillin, amoxicillin/clavulanate, ampicillin, cefadroxil, cephalexin, cefaclor and cefixime). Subjects should not have evidence of a history of the following: * normal renal function: clinically significant hematological, renal, endocrine, pulmonary, gastrointestinal, cardiovascular, hepatic, psychiatric, neurological or allergic disease. * renal impairment: any clinically significant (hepatic, cardiac or pulmonary or subjects with acute nephritic syndrome) diseases (except diabetes). Stable co-morbid disease where it is unlikely that the disease and medication will alter the outcome of the study will be allowed.

Design outcomes

Primary

MeasureTime frameDescription
Renal Clearance (CLr) of CP-70429 Following CP-70,429 Intravenous Dose0 (pre-dose), 0 to 6, 6 to 12, 12 to 24 hours post-doseRenal clearance was calculated as cumulative amount of drug recovered unchanged in urine during the dosing interval (Ae) divided by area under the plasma concentration time-curve from time zero to end of dosing interval (AUCtau).
Maximum Observed Plasma Concentration (Cmax) of CP-70429 Following PF-03709270 Oral Dose0 (pre-dose), 0.5, 1.0, 1.5, 2, 3, 4, 6, 8, 12, 24 hours post-dose (for all participants) and 48 hours post-dose (for participants with moderate and severe renal impairment)PF-03709270 is an oral prodrug of CP-70,429. Upon oral absorption, PF-03709270 is rapidly hydrolyzed, yielding the active drug CP-70,429. Cmax of CP-70429 following CP-70,429 intravenous dose was reported.
Time to Reach Maximum Observed Plasma Concentration (Tmax) of CP-70429 Following PF-03709270 Oral Dose0 (pre-dose), 0.5, 1.0, 1.5, 2, 3, 4, 6, 8, 12, 24 hours post-dose (for all participants) and 48 hours post-dose (for participants with moderate and severe renal impairment)
Area Under the Curve From Time Zero to Last Quantifiable Concentration (AUClast) of CP-70429 Following PF-03709270 Oral Dose0 (pre-dose), 0.5, 1.0, 1.5, 2, 3, 4, 6, 8, 12, 24 hours post-dose (for all participants) and 48 hours post-dose (for participants with moderate and severe renal impairment)Area under the plasma concentration time-curve from zero (pre-dose) to the time of last measured concentration (AUClast).
Area Under the Curve From Time Zero to Extrapolated Infinite Time [AUC (0-inf)] of CP-70429 Following PF-03709270 Oral Dose0 (pre-dose), 0.5, 1.0, 1.5, 2, 3, 4, 6, 8, 12, 24 hours post-dose (for all participants) and 48 hours post-dose (for participants with moderate and severe renal impairment)AUC (0-inf) is the area under the plasma concentration versus time curve (AUC) from time zero (pre-dose) to extrapolated infinite time (0-inf). It is obtained from AUC (0-t) plus AUC (t-inf).
Renal Clearance (CLr) of CP-70429 Following PF-03709270 Oral Dose0 (pre-dose), 0 to 6, 6 to 12, 12 to 24 hours post-doseRenal clearance was calculated as cumulative amount of drug recovered unchanged in urine during the dosing interval (Ae) divided by area under the plasma concentration time-curve from time zero to end of dosing interval (AUCtau).
Maximum Observed Plasma Concentration (Cmax) of CP-70429 Following CP-70,429 Intravenous Dose0 (pre-dose), 0.5, 1.0, 1.5, 2, 3, 4, 6, 8, 12, 24 hours post-dose (for all participants) and 48 hours post-dose (for participants with moderate and severe renal impairment)PF-03709270 is an oral prodrug of CP-70,429. Upon oral absorption, PF-03709270 is rapidly hydrolyzed, yielding the active drug CP-70,429. Cmax of CP-70429 following CP-70,429 intravenous dose was reported.
Time to Reach Maximum Observed Plasma Concentration (Tmax) of CP-70429 Following CP-70,429 Intravenous Dose0 (pre-dose), 0.5, 1.0, 1.5, 2, 3, 4, 6, 8, 12, 24 hours post-dose (for all participants) and 48 hours post-dose (for participants with moderate and severe renal impairment)
Area Under the Curve From Time Zero to Last Quantifiable Concentration (AUClast) of CP-70429 Following CP-70,429 Intravenous Dose0 (pre-dose), 0.5, 1.0, 1.5, 2, 3, 4, 6, 8, 12, 24 hours post-dose (for all participants) and 48 hours post-dose (for participants with moderate and severe renal impairment)Area under the plasma concentration time-curve from zero (pre-dose) to the time of last measured concentration (AUClast).
Area Under the Curve From Time Zero to Extrapolated Infinite Time [AUC (0-inf)] of CP-70,429 Following CP-70,429 Intravenous Dose0 (pre-dose), 0.5, 1.0, 1.5, 2, 3, 4, 6, 8, 12, 24 hours post-dose (for all participants) and 48 hours post-dose (for participants with moderate and severe renal impairment)AUC (0-inf) is the area under the plasma concentration versus time curve (AUC) from time zero (pre-dose) to extrapolated infinite time (0-inf). It is obtained from AUC (0-t) plus AUC (t-inf).

Secondary

MeasureTime frameDescription
Concentration Versus Time Summary of Plasma Formate1, 3, 8 hours post-doseConcentration versus time summary was calculated by setting concentration values below the lower limit of quantification (LLQ =100 ng/mL) to zero. Summary statistics were not to be presented if number of observations above lower limit of quantification (NALQ) =0.
Number of Participants With Treatment-Emergent Adverse Events (AEs) and Serious Adverse Events (SAEs)Baseline up to 7-10 days after the last dose of study drug (up to 32 days)An AE was any untoward medical occurrence in a participant who received study drug without regard to possibility of causal relationship. An SAE was an AE resulting in any of the following outcomes or deemed significant for any other reason: death; initial or prolonged inpatient hospitalization; life threatening experience (immediate risk of dying); persistent or significant disability/incapacity; congenital anomaly. Treatment-emergent are events between first dose of study drug and up to 7-10 days after last dose that were absent before treatment or that worsened relative to pre-treatment state.
Number of Participants With Laboratory AbnormalitiesBaseline up to 7-10 days after the last dose of study drug (up to 32 days)Criteria for laboratory test abnormality: Hematology (hemoglobin, hematocrit, red blood corpuscles \[RBC\] count: less than \[\<\]0.8\*lower limit of normal \[LLN\], platelets: \<0.5\*LLN/greater than \[\>\]1.75\*upper limit of normal \[ULN\], leukocytes: \<0.6\*LLN or \>1.5\*ULN, lymphocytes, total neutrophils: \<0.8\*LLN or \>1.2\*ULN, basophils, eosinophil, monocytes: \>1.2\*ULN); Liver Function (aspartate aminotransferase, alanine aminotransferase, alkaline phosphatase: \>0.3\*ULN, total protein, albumin: \<0.8\*LLN or \>1.2\*ULN); total bilirubin, direct bilirubin, indirect bilirubin: \>1.5\*ULN; Renal Function (blood urea nitrogen, creatinine: \>1.3\*ULN, uric acid: \>1.2\*ULN); Electrolytes (sodium: \<0.95\*LLN or \>1.05\*ULN, potassium, chloride, calcium, bicarbonate: \<0.9\*LLN or \>1.1\*ULN; creatine kinase: \>2.0\*ULN; glucose fasting: \<0.6\*LLN or \>1.5\*ULN, urine white blood corpuscles \[WBC\] and RBC: greater than or equal to (\>=) 6/High Power Field \[HPF\]).
Number of Participants With Vital Sign AbnormalitiesBaseline up to 7-10 days after the last dose of study drug (up to 32 days)Criteria for vital signs abnormalities included supine/sitting pulse rate of \<40 beats per minute (bpm) or \>120 bpm, supine systolic blood pressure (SBP) of \<90 millimeter of mercury (mmHg), \>=30 mmHg maximum increase and decrease from baseline in same posture, supine diastolic blood pressure (DBP) of \<50 mmHg, \>=20 mmHg maximum increase and decrease from baseline in same posture, heart rate \<=45 beats per minute (bpm) or \>=120 bpm or decrease/increase of \>=15 bpm.
Number of Participants With 12-Lead Electrocardiogram (ECG) AbnormalitiesBaseline up to 7-10 days after the last dose of study drug (up to 32 days)Criteria for abnormal ECG (12-lead) values were defined as: maximum PR interval \>=300 millisecond (msec) and maximum increase of \>=25 percent for baseline value of \>200 msec and \>=50% for baseline value of \<=200 msec for PR interval, QRS interval \>=200 msec; QT interval corrected using the Fridericia formula (QTcF) \>=500 msec or increase of \>45 msec.
Terminal Elimination Half Life (t1/2) of CP-70429 Following CP-70,429 Intravenous Dose0 (pre-dose), 0.5, 1.0, 1.5, 2, 3, 4, 6, 8, 12, 24 hours post-dose (for all participants) and 48 hours post-dose (for participants with moderate and severe renal impairment)Terminal elimination half-life is the time measured for the plasma concentration to decrease by one half.
Number of Participants With Change From Baseline in Physical ExaminationsBaseline, 7-10 days after the last dose of study drugPhysical examination included examination of the skin, eyes, ears, throat, neck, and cardiac, respiratory, gastrointestinal and musculoskeletal systems. The examination assessed the participants for any potential changes in physical status, as determined by the investigator. Any untoward findings identified on physical exams conducted after the administration of the first dose of study medication was captured as an adverse event.
Terminal Elimination Half Life (t1/2) of CP-70429 Following PF-03709270 Oral Dose0 (pre-dose), 0.5, 1.0, 1.5, 2, 3, 4, 6, 8, 12, 24 hours post-dose (for all participants) and 48 hours post-dose (for participants with moderate and severe renal impairment)Terminal elimination half-life is the time measured for the plasma concentration to decrease by one half.
Clearance (CL)0 (pre-dose), 0.5, 1.0, 1.5, 2, 3, 4, 6, 8, 12, 24 hours post-dose (for all participants) and 48 hours post-dose (for participants with moderate and severe renal impairment)Clearance of a drug is a measure of the rate at which a drug is metabolized or eliminated by normal biological processes. It was calculated by dividing given intravenous dose by AUC inf. AUC inf is the area under the plasma concentration versus time curve (AUC) from time zero (pre-dose) to extrapolated infinite time (0-inf). It is obtained from AUC (0-t) plus AUC (t-inf).
Apparent Oral Clearance (CL/F)0 (pre-dose), 0.5, 1.0, 1.5, 2, 3, 4, 6, 8, 12, 24 hours post-dose (for all participants) and 48 hours post-dose (for participants with moderate and severe renal impairment)Clearance of a drug is a measure of the rate at which a drug is metabolized or eliminated by normal biological processes. Clearance obtained after oral dose (apparent oral clearance) is influenced by the fraction of the dose absorbed. Drug clearance is a quantitative measure of the rate at which a drug substance is removed from the blood. It was calculated by dividing the given oral dose by AUCinf. AUC inf is the area under the plasma concentration versus time curve (AUC) from time zero (pre-dose) to extrapolated infinite time (0-inf). It is obtained from AUC (0-t) plus AUC (t-inf).
Duration of Plasma Concentrations of CP-70429 Exceeding 0.5 Microgram Per Milliliter Following Intravenous Dose0 (pre-dose), 0.5, 1.0, 1.5, 2, 3, 4, 6, 8, 12, 24 hours post-dose (for all participants) and 48 hours post-dose (for participants with moderate and severe renal impairment)Duration was calculated by subtracting the time at which the plasma concentrations exceeded 0.5 microgram per milliliter (mcg/mL) at the ascending part of the concentration-time profile from the time at which the plasma concentrations fell below 0.5 mcg/mL at the descending part of the profile. If these times fell between 2 observed concentrations, a method of linear interpolation was used for best estimation.
Duration of Plasma Concentrations of CP-70429 Exceeding 0.5 Microgram Per Milliliter Following PF-03709270 Oral Dose0 (pre-dose), 0.5, 1.0, 1.5, 2, 3, 4, 6, 8, 12, 24 hours post-dose (for all participants) and 48 hours post-dose (for participants with moderate and severe renal impairment)Duration was calculated by subtracting the time at which the plasma concentrations exceeded 0.5 mcg/mL at the ascending part of the concentration-time profile from the time at which the plasma concentrations fell below 0.5 mcg/mL at the descending part of the profile. If these times fell between 2 observed concentrations, a method of linear interpolation was used for best estimation.
Duration of Plasma Concentrations of CP-70429 Exceeding 1.0 Microgram Per Milliliter Following Intravenous Dose0 (pre-dose), 0.5, 1.0, 1.5, 2, 3, 4, 6, 8, 12, 24 hours post-dose (for all participants) and 48 hours post-dose (for participants with moderate and severe renal impairment)Duration was calculated by subtracting the time at which the plasma concentrations exceeded 1.0 mcg/mL at the ascending part of the concentration-time profile from the time at which the plasma concentrations fell below 1.0 mcg/mL at the descending part of the profile. If these times fell between 2 observed concentrations, a method of linear interpolation was used for best estimation.
Duration of Plasma Concentrations of CP-70429 Exceeding 1.0 Microgram Per Milliliter Following PF-03709270 Oral Dose0 (pre-dose), 0.5, 1.0, 1.5, 2, 3, 4, 6, 8, 12, 24 hours post-dose (for all participants) and 48 hours post-dose (for participants with moderate and severe renal impairment)Duration was calculated by subtracting the time at which the plasma concentrations exceeded 0.5 mcg/mL at the ascending part of the concentration-time profile from the time at which the plasma concentrations fell below 0.5 mcg/mL at the descending part of the profile. If these times fell between 2 observed concentrations, a method of linear interpolation was used for best estimation.
Pharmacokinetics of CP-70429 and PF-03709270 Metabolites0.5, 2, 4, 8, 12, 24 hours post-dose (for all participants) and 48 hours post-dose (for participants with moderate and severe renal impairment)PF-03709270 is an oral prodrug of CP-70,429. Upon oral absorption, PF-03709270 is rapidly hydrolyzed, yielding the active drug CP-70,429 and metabolites.
Concentration Versus Time Summary of 2-Ethylbutyric Acid1, 3, 8 hours post-doseConcentration versus time summary was calculated by setting concentration values below the lower limit of quantification (LLQ =100 ng/mL) to zero. Summary statistics were not to be presented if number of observations above lower limit of quantification (NALQ) =0.

Countries

Belgium, United States

Participant flow

Recruitment details

This was a fixed sequence design study (not a complete 2 way crossover) in parallel groups of participants with varying degrees of renal impairment, where all subjects received the intravenous formulation in first period and then received the oral formulation in second period.

Pre-assignment details

Participants were planned to receive CP-70,429 800 milligram (mg) in all reporting groups. For severe renal impairment group, CP-70,429 dose was decreased from 800 mg to 200 mg as per protocol amendment. Only 1 participant received 800 mg dose and was excluded from all descriptive and statistical analyses as per change in planned analysis.

Participants by arm

ArmCount
CP-70,429 (800 mg) + PF-03709270: Normal Renal Impairment
Participants with normal renal function (defined by creatinine clearance \[CLcr\] greater than \[\>\] 80 milliliter per minute \[mL/min\]) received a single dose of CP-70,429 200 mg given as an intravenous infusion over 1.5 hours in first intervention period followed by a single oral dose of PF-03709270 1000 mg in second intervention period. A washout period of at least 14 days was maintained between each intervention period.
8
CP-70,429 (800 mg) + PF-03709270: Mild Renal Impairment
Participants with mild renal impairment (defined by CLcr \>50 and less than or equal to \[\<=\] 80 mL/min) received a single dose of CP-70,429 800 mg given as an intravenous infusion over 1.5 hours in first intervention period followed by a single oral dose of PF-03709270 1000 mg in second intervention period. A washout period of at least 14 days was maintained between each intervention period.
8
CP-70,429 (800 mg) + PF-03709270: Moderate Renal Impairment
Participants with moderate renal impairment (defined by CLcr greater than or equal to \>=30 and \<=50 mL/min) received a single dose of CP--70,429 800 mg given as an intravenous infusion over 1.5 hours in first intervention period followed by a single oral dose of PF-03709270 1000 mg in second intervention period. A washout period of at least 14 days was maintained between each intervention period.
8
CP-70,429 (800 mg) + PF-03709270: Severe Renal Impairment
Participants with severe renal impairment (defined by CLcr \<30 mL/min) received a single dose of CP-70,429 800 mg given as an intravenous infusion over 1.5 hours in first intervention period followed by a single oral dose of PF-03709270 1000 mg in second intervention period. A washout period of at least 14 days was maintained between each intervention period.
1
CP-70,429 (200 mg) + PF-03709270: Severe Renal Function
Participants with severe renal impairment (defined by CLcr \<30 mL/min) received a single dose of CP--70,429 200 mg given as an intravenous infusion over 1.5 hours in first intervention period followed by a single oral dose of PF--03709270 1000 mg in second intervention period. A washout period of at least 14 days was maintained between each intervention period.
4
Total29

Withdrawals & dropouts

PeriodReasonFG000FG001FG002FG003FG004
Washout Period (at Least 14 Days)Adverse Event00001

Baseline characteristics

CharacteristicCP-70,429 (800 mg) + PF-03709270: Normal Renal ImpairmentCP-70,429 (800 mg) + PF-03709270: Mild Renal ImpairmentCP-70,429 (800 mg) + PF-03709270: Moderate Renal ImpairmentCP-70,429 (800 mg) + PF-03709270: Severe Renal ImpairmentCP-70,429 (200 mg) + PF-03709270: Severe Renal FunctionTotal
Age, Continuous60.4 years
STANDARD_DEVIATION 3.2
60.6 years
STANDARD_DEVIATION 7.3
64.3 years
STANDARD_DEVIATION 15.7
55 years69 years
STANDARD_DEVIATION 9.4
62.5 years
STANDARD_DEVIATION 9.9
Sex: Female, Male
Female
3 Participants3 Participants2 Participants0 Participants4 Participants12 Participants
Sex: Female, Male
Male
5 Participants5 Participants6 Participants1 Participants0 Participants17 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
EG002
affected / at risk
EG003
affected / at risk
EG004
affected / at risk
EG005
affected / at risk
EG006
affected / at risk
EG007
affected / at risk
EG008
affected / at risk
deaths
Total, all-cause mortality
— / —— / —— / —— / —— / —— / —— / —— / —— / —
other
Total, other adverse events
5 / 85 / 84 / 80 / 13 / 46 / 84 / 86 / 83 / 4
serious
Total, serious adverse events
0 / 80 / 80 / 80 / 11 / 40 / 80 / 80 / 80 / 4

Outcome results

Primary

Area Under the Curve From Time Zero to Extrapolated Infinite Time [AUC (0-inf)] of CP-70,429 Following CP-70,429 Intravenous Dose

AUC (0-inf) is the area under the plasma concentration versus time curve (AUC) from time zero (pre-dose) to extrapolated infinite time (0-inf). It is obtained from AUC (0-t) plus AUC (t-inf).

Time frame: 0 (pre-dose), 0.5, 1.0, 1.5, 2, 3, 4, 6, 8, 12, 24 hours post-dose (for all participants) and 48 hours post-dose (for participants with moderate and severe renal impairment)

Population: The PK parameter analysis population included all treated participants who had at least 1 of the PK parameters of interest in at least 1 treatment period.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
CP-70,429 (800 mg): Normal Renal FunctionArea Under the Curve From Time Zero to Extrapolated Infinite Time [AUC (0-inf)] of CP-70,429 Following CP-70,429 Intravenous Dose32160 ng*hr/mLStandard Deviation 4775.5
CP-70,429 (800 mg): Mild Renal ImpairmentArea Under the Curve From Time Zero to Extrapolated Infinite Time [AUC (0-inf)] of CP-70,429 Following CP-70,429 Intravenous Dose54070 ng*hr/mLStandard Deviation 10647
CP-70,429 (800 mg): Moderate Renal ImpairmentArea Under the Curve From Time Zero to Extrapolated Infinite Time [AUC (0-inf)] of CP-70,429 Following CP-70,429 Intravenous Dose79870 ng*hr/mLStandard Deviation 24619
CP-70,429 (200 mg): Severe Renal ImpairmentArea Under the Curve From Time Zero to Extrapolated Infinite Time [AUC (0-inf)] of CP-70,429 Following CP-70,429 Intravenous Dose35410 ng*hr/mLStandard Deviation 9610.6
Comparison: A one-way ANOVA model with group as a fixed effect was used to compare the natural log transformed AUCinf for mild renal impairment group (Test) to normal renal function group (Reference). The adjusted mean differences and 90% confidence intervals (CIs) for the differences were exponentiated to provide estimates of the ratio of adjusted geometric means (Test/Reference) and 90% CIs for the ratios.90% CI: [137.4, 205.75]
Comparison: A one-way ANOVA model with group as a fixed effect was used to compare the natural log transformed AUCinf for moderate renal impairment group (Test) to normal renal function group (Reference). The adjusted mean differences and 90% confidence intervals (CIs) for the differences were exponentiated to provide estimates of the ratio of adjusted geometric means (Test/Reference) and 90% CIs for the ratios.90% CI: [202.98, 303.94]
Comparison: A one-way ANOVA model with group as a fixed effect was used to compare the natural log transformed AUCinf for severe renal impairment group (Test) to normal renal function group (Reference). The adjusted mean differences and 90% confidence intervals (CIs) for the differences were exponentiated to provide estimates of the ratio of adjusted geometric means (Test/Reference) and 90% CIs for the ratios.90% CI: [89.84, 134.98]
Primary

Area Under the Curve From Time Zero to Extrapolated Infinite Time [AUC (0-inf)] of CP-70429 Following PF-03709270 Oral Dose

AUC (0-inf) is the area under the plasma concentration versus time curve (AUC) from time zero (pre-dose) to extrapolated infinite time (0-inf). It is obtained from AUC (0-t) plus AUC (t-inf).

Time frame: 0 (pre-dose), 0.5, 1.0, 1.5, 2, 3, 4, 6, 8, 12, 24 hours post-dose (for all participants) and 48 hours post-dose (for participants with moderate and severe renal impairment)

Population: The PK parameter analysis population included all treated participants who had at least 1 of the PK parameters of interest in at least 1 treatment period.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
CP-70,429 (800 mg): Normal Renal FunctionArea Under the Curve From Time Zero to Extrapolated Infinite Time [AUC (0-inf)] of CP-70429 Following PF-03709270 Oral Dose6523 ng*hr/mLStandard Deviation 1329.5
CP-70,429 (800 mg): Mild Renal ImpairmentArea Under the Curve From Time Zero to Extrapolated Infinite Time [AUC (0-inf)] of CP-70429 Following PF-03709270 Oral Dose13670 ng*hr/mLStandard Deviation 5088.1
CP-70,429 (800 mg): Moderate Renal ImpairmentArea Under the Curve From Time Zero to Extrapolated Infinite Time [AUC (0-inf)] of CP-70429 Following PF-03709270 Oral Dose23040 ng*hr/mLStandard Deviation 9403.9
CP-70,429 (200 mg): Severe Renal ImpairmentArea Under the Curve From Time Zero to Extrapolated Infinite Time [AUC (0-inf)] of CP-70429 Following PF-03709270 Oral Dose47990 ng*hr/mLStandard Deviation 16191
Comparison: A one-way ANOVA model with group as a fixed effect was used to compare the natural log transformed AUCinf for mild renal impairment group (Test) to normal renal function group (Reference). The adjusted mean differences and 90% confidence intervals (CIs) for the differences were exponentiated to provide estimates of the ratio of adjusted geometric means (Test/Reference) and 90% CIs for the ratios.90% CI: [158.72, 276.66]
Comparison: A one-way ANOVA model with group as a fixed effect was used to compare the natural log transformed AUCinf for moderate renal impairment group (Test) to normal renal function group (Reference). The adjusted mean differences and 90% confidence intervals (CIs) for the differences were exponentiated to provide estimates of the ratio of adjusted geometric means (Test/Reference) and 90% CIs for the ratios.90% CI: [267.57, 466.39]
Comparison: A one-way ANOVA model with group as a fixed effect was used to compare the natural log transformed AUCinf for severe renal impairment group (Test) to normal renal function group (Reference). The adjusted mean differences and 90% confidence intervals (CIs) for the differences were exponentiated to provide estimates of the ratio of adjusted geometric means (Test/Reference) and 90% CIs for the ratios.90% CI: [523.56, 1034]
Primary

Area Under the Curve From Time Zero to Last Quantifiable Concentration (AUClast) of CP-70429 Following CP-70,429 Intravenous Dose

Area under the plasma concentration time-curve from zero (pre-dose) to the time of last measured concentration (AUClast).

Time frame: 0 (pre-dose), 0.5, 1.0, 1.5, 2, 3, 4, 6, 8, 12, 24 hours post-dose (for all participants) and 48 hours post-dose (for participants with moderate and severe renal impairment)

Population: The PK parameter analysis population included all treated participants who had at least 1 of the PK parameters of interest in at least 1 treatment period.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
CP-70,429 (800 mg): Normal Renal FunctionArea Under the Curve From Time Zero to Last Quantifiable Concentration (AUClast) of CP-70429 Following CP-70,429 Intravenous Dose31990 nanogram*hour per milliliter (ng*hr/mL)Standard Deviation 4793.3
CP-70,429 (800 mg): Mild Renal ImpairmentArea Under the Curve From Time Zero to Last Quantifiable Concentration (AUClast) of CP-70429 Following CP-70,429 Intravenous Dose53610 nanogram*hour per milliliter (ng*hr/mL)Standard Deviation 10520
CP-70,429 (800 mg): Moderate Renal ImpairmentArea Under the Curve From Time Zero to Last Quantifiable Concentration (AUClast) of CP-70429 Following CP-70,429 Intravenous Dose78940 nanogram*hour per milliliter (ng*hr/mL)Standard Deviation 23937
CP-70,429 (200 mg): Severe Renal ImpairmentArea Under the Curve From Time Zero to Last Quantifiable Concentration (AUClast) of CP-70429 Following CP-70,429 Intravenous Dose34270 nanogram*hour per milliliter (ng*hr/mL)Standard Deviation 8430.3
Comparison: A one-way ANOVA model with group as a fixed effect was used to compare the natural log transformed AUClast for mild renal impairment group (Test) to normal renal function group (Reference). The adjusted mean differences and 90% confidence intervals (CIs) for the differences were exponentiated to provide estimates of the ratio of adjusted geometric means (Test/Reference) and 90% CIs for the ratios.90% CI: [137.27, 204.61]
Comparison: A one-way ANOVA model with group as a fixed effect was used to compare the natural log transformed AUClast for moderate renal impairment group (Test) to normal renal function group (Reference). The adjusted mean differences and 90% confidence intervals (CIs) for the differences were exponentiated to provide estimates of the ratio of adjusted geometric means (Test/Reference) and 90% CIs for the ratios.90% CI: [202.11, 301.27]
Comparison: A one-way ANOVA model with group as a fixed effect was used to compare the natural log transformed AUClast for severe renal impairment group (Test) to normal renal function group (Reference). The adjusted mean differences and 90% confidence intervals (CIs) for the differences were exponentiated to provide estimates of the ratio of adjusted geometric means (Test/Reference) and 90% CIs for the ratios.90% CI: [88.06, 130.32]
Primary

Area Under the Curve From Time Zero to Last Quantifiable Concentration (AUClast) of CP-70429 Following PF-03709270 Oral Dose

Area under the plasma concentration time-curve from zero (pre-dose) to the time of last measured concentration (AUClast).

Time frame: 0 (pre-dose), 0.5, 1.0, 1.5, 2, 3, 4, 6, 8, 12, 24 hours post-dose (for all participants) and 48 hours post-dose (for participants with moderate and severe renal impairment)

Population: The PK parameter analysis population included all treated participants who had at least 1 of the PK parameters of interest in at least 1 treatment period.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
CP-70,429 (800 mg): Normal Renal FunctionArea Under the Curve From Time Zero to Last Quantifiable Concentration (AUClast) of CP-70429 Following PF-03709270 Oral Dose6403 ng*hr/mLStandard Deviation 1355.9
CP-70,429 (800 mg): Mild Renal ImpairmentArea Under the Curve From Time Zero to Last Quantifiable Concentration (AUClast) of CP-70429 Following PF-03709270 Oral Dose13400 ng*hr/mLStandard Deviation 4948.8
CP-70,429 (800 mg): Moderate Renal ImpairmentArea Under the Curve From Time Zero to Last Quantifiable Concentration (AUClast) of CP-70429 Following PF-03709270 Oral Dose22600 ng*hr/mLStandard Deviation 9034.3
CP-70,429 (200 mg): Severe Renal ImpairmentArea Under the Curve From Time Zero to Last Quantifiable Concentration (AUClast) of CP-70429 Following PF-03709270 Oral Dose47560 ng*hr/mLStandard Deviation 15782
Comparison: A one-way ANOVA model with group as a fixed effect was used to compare the natural log transformed AUClast for mild renal impairment group (Test) to normal renal function group (Reference). The adjusted mean differences and 90% confidence intervals (CIs) for the differences were exponentiated to provide estimates of the ratio of adjusted geometric means (Test/Reference) and 90% CIs for the ratios.90% CI: [158.81, 275.87]
Comparison: A one-way ANOVA model with group as a fixed effect was used to compare the natural log transformed AUClast for moderate renal impairment group (Test) to normal renal function group (Reference). The adjusted mean differences and 90% confidence intervals (CIs) for the differences were exponentiated to provide estimates of the ratio of adjusted geometric means (Test/Reference) and 90% CIs for the ratios.90% CI: [267.83, 465.25]
Comparison: A one-way ANOVA model with group as a fixed effect was used to compare the natural log transformed AUClast for severe renal impairment group (Test) to normal renal function group (Reference). The adjusted mean differences and 90% confidence intervals (CIs) for the differences were exponentiated to provide estimates of the ratio of adjusted geometric means (Test/Reference) and 90% CIs for the ratios.90% CI: [529.59, 1041.5]
Primary

Maximum Observed Plasma Concentration (Cmax) of CP-70429 Following CP-70,429 Intravenous Dose

PF-03709270 is an oral prodrug of CP-70,429. Upon oral absorption, PF-03709270 is rapidly hydrolyzed, yielding the active drug CP-70,429. Cmax of CP-70429 following CP-70,429 intravenous dose was reported.

Time frame: 0 (pre-dose), 0.5, 1.0, 1.5, 2, 3, 4, 6, 8, 12, 24 hours post-dose (for all participants) and 48 hours post-dose (for participants with moderate and severe renal impairment)

Population: The pharmacokinetic (PK) parameter analysis population included all treated participants who had at least 1 of the PK parameters of interest in at least 1 treatment period.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
CP-70,429 (800 mg): Normal Renal FunctionMaximum Observed Plasma Concentration (Cmax) of CP-70429 Following CP-70,429 Intravenous Dose17700 nanogram per milliliter (ng/mL)Standard Deviation 1880.3
CP-70,429 (800 mg): Mild Renal ImpairmentMaximum Observed Plasma Concentration (Cmax) of CP-70429 Following CP-70,429 Intravenous Dose22070 nanogram per milliliter (ng/mL)Standard Deviation 3420.8
CP-70,429 (800 mg): Moderate Renal ImpairmentMaximum Observed Plasma Concentration (Cmax) of CP-70429 Following CP-70,429 Intravenous Dose28940 nanogram per milliliter (ng/mL)Standard Deviation 6880
CP-70,429 (200 mg): Severe Renal ImpairmentMaximum Observed Plasma Concentration (Cmax) of CP-70429 Following CP-70,429 Intravenous Dose10340 nanogram per milliliter (ng/mL)Standard Deviation 2784.3
Comparison: A one-way ANOVA model with group as a fixed effect was used to compare the natural log transformed Cmax for mild renal impairment group (Test) to normal renal function group (Reference). The adjusted mean differences and 90% confidence intervals (CIs) for the differences were exponentiated to provide estimates of the ratio of adjusted geometric means (Test/Reference) and 90% CIs for the ratios.90% CI: [106.57, 145.94]
Comparison: A one-way ANOVA model with group as a fixed effect was used to compare the natural log transformed Cmax for moderate renal impairment group (Test) to normal renal function group (Reference). The adjusted mean differences and 90% CIs for the differences were exponentiated to provide estimates of the ratio of adjusted geometric means (Test/Reference) and 90% CIs for the ratios.90% CI: [139.72, 191.34]
Comparison: A one-way ANOVA model with group as a fixed effect was used to compare the natural log transformed Cmax for severe renal impairment group (Test) to normal renal function group (Reference). The adjusted mean differences and 90% confidence intervals (CIs) for the differences were exponentiated to provide estimates of the ratio of adjusted geometric means (Test/Reference) and 90% CIs for the ratios.90% CI: [48.16, 70.83]
Primary

Maximum Observed Plasma Concentration (Cmax) of CP-70429 Following PF-03709270 Oral Dose

PF-03709270 is an oral prodrug of CP-70,429. Upon oral absorption, PF-03709270 is rapidly hydrolyzed, yielding the active drug CP-70,429. Cmax of CP-70429 following CP-70,429 intravenous dose was reported.

Time frame: 0 (pre-dose), 0.5, 1.0, 1.5, 2, 3, 4, 6, 8, 12, 24 hours post-dose (for all participants) and 48 hours post-dose (for participants with moderate and severe renal impairment)

Population: The pharmacokinetic (PK) parameter analysis population included all treated participants who had at least 1 of the PK parameters of interest in at least 1 treatment period.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
CP-70,429 (800 mg): Normal Renal FunctionMaximum Observed Plasma Concentration (Cmax) of CP-70429 Following PF-03709270 Oral Dose2747 ng/mLStandard Deviation 420.58
CP-70,429 (800 mg): Mild Renal ImpairmentMaximum Observed Plasma Concentration (Cmax) of CP-70429 Following PF-03709270 Oral Dose3704 ng/mLStandard Deviation 1053.3
CP-70,429 (800 mg): Moderate Renal ImpairmentMaximum Observed Plasma Concentration (Cmax) of CP-70429 Following PF-03709270 Oral Dose6215 ng/mLStandard Deviation 1841.3
CP-70,429 (200 mg): Severe Renal ImpairmentMaximum Observed Plasma Concentration (Cmax) of CP-70429 Following PF-03709270 Oral Dose7830 ng/mLStandard Deviation 738.17
Comparison: A one-way ANOVA model with group as a fixed effect was used to compare the natural log transformed Cmax for mild renal impairment group (Test) to normal renal function group (Reference). The adjusted mean differences and 90% confidence intervals (CIs) for the differences were exponentiated to provide estimates of the ratio of adjusted geometric means (Test/Reference) and 90% CIs for the ratios.90% CI: [109.88, 165.52]
Comparison: A one-way ANOVA model with group as a fixed effect was used to compare the natural log transformed Cmax for moderate renal impairment group (Test) to normal renal function group (Reference). The adjusted mean differences and 90% CIs for the differences were exponentiated to provide estimates of the ratio of adjusted geometric means (Test/Reference) and 90% CIs for the ratios.90% CI: [184.36, 277.72]
Comparison: A one-way ANOVA model with group as a fixed effect was used to compare the natural log transformed Cmax for severe renal impairment group (Test) to normal renal function group (Reference). The adjusted mean differences and 90% confidence intervals (CIs) for the differences were exponentiated to provide estimates of the ratio of adjusted geometric means (Test/Reference) and 90% CIs for the ratios.90% CI: [221.8, 366.33]
Primary

Renal Clearance (CLr) of CP-70429 Following CP-70,429 Intravenous Dose

Renal clearance was calculated as cumulative amount of drug recovered unchanged in urine during the dosing interval (Ae) divided by area under the plasma concentration time-curve from time zero to end of dosing interval (AUCtau).

Time frame: 0 (pre-dose), 0 to 6, 6 to 12, 12 to 24 hours post-dose

Population: The PK parameter analysis population included all treated participants who had at least 1 of the PK parameters of interest in at least 1 treatment period.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
CP-70,429 (800 mg): Normal Renal FunctionRenal Clearance (CLr) of CP-70429 Following CP-70,429 Intravenous Dose8.035 liter per hour (L/hr)Standard Deviation 5.578
CP-70,429 (800 mg): Mild Renal ImpairmentRenal Clearance (CLr) of CP-70429 Following CP-70,429 Intravenous Dose6.936 liter per hour (L/hr)Standard Deviation 2.516
CP-70,429 (800 mg): Moderate Renal ImpairmentRenal Clearance (CLr) of CP-70429 Following CP-70,429 Intravenous Dose3.043 liter per hour (L/hr)Standard Deviation 3.297
CP-70,429 (200 mg): Severe Renal ImpairmentRenal Clearance (CLr) of CP-70429 Following CP-70,429 Intravenous Dose2.303 liter per hour (L/hr)Standard Deviation 0.605
Primary

Renal Clearance (CLr) of CP-70429 Following PF-03709270 Oral Dose

Renal clearance was calculated as cumulative amount of drug recovered unchanged in urine during the dosing interval (Ae) divided by area under the plasma concentration time-curve from time zero to end of dosing interval (AUCtau).

Time frame: 0 (pre-dose), 0 to 6, 6 to 12, 12 to 24 hours post-dose

Population: The PK parameter analysis population included all treated participants who had at least 1 of the PK parameters of interest in at least 1 treatment period.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
CP-70,429 (800 mg): Normal Renal FunctionRenal Clearance (CLr) of CP-70429 Following PF-03709270 Oral Dose15.47 L/hrStandard Deviation 1.885
CP-70,429 (800 mg): Mild Renal ImpairmentRenal Clearance (CLr) of CP-70429 Following PF-03709270 Oral Dose7.952 L/hrStandard Deviation 2.537
CP-70,429 (800 mg): Moderate Renal ImpairmentRenal Clearance (CLr) of CP-70429 Following PF-03709270 Oral Dose4.239 L/hrStandard Deviation 2.647
CP-70,429 (200 mg): Severe Renal ImpairmentRenal Clearance (CLr) of CP-70429 Following PF-03709270 Oral Dose3.294 L/hrStandard Deviation 4.398
Primary

Time to Reach Maximum Observed Plasma Concentration (Tmax) of CP-70429 Following CP-70,429 Intravenous Dose

Time frame: 0 (pre-dose), 0.5, 1.0, 1.5, 2, 3, 4, 6, 8, 12, 24 hours post-dose (for all participants) and 48 hours post-dose (for participants with moderate and severe renal impairment)

Population: The PK parameter analysis population included all treated participants who had at least 1 of the PK parameters of interest in at least 1 treatment period.

ArmMeasureValue (MEDIAN)Dispersion
CP-70,429 (800 mg): Normal Renal FunctionTime to Reach Maximum Observed Plasma Concentration (Tmax) of CP-70429 Following CP-70,429 Intravenous Dose1.00 hoursFull Range 11
CP-70,429 (800 mg): Mild Renal ImpairmentTime to Reach Maximum Observed Plasma Concentration (Tmax) of CP-70429 Following CP-70,429 Intravenous Dose1.50 hoursFull Range 15
CP-70,429 (800 mg): Moderate Renal ImpairmentTime to Reach Maximum Observed Plasma Concentration (Tmax) of CP-70429 Following CP-70,429 Intravenous Dose1.50 hoursFull Range 23
CP-70,429 (200 mg): Severe Renal ImpairmentTime to Reach Maximum Observed Plasma Concentration (Tmax) of CP-70429 Following CP-70,429 Intravenous Dose1.50 hoursFull Range 26
Primary

Time to Reach Maximum Observed Plasma Concentration (Tmax) of CP-70429 Following PF-03709270 Oral Dose

Time frame: 0 (pre-dose), 0.5, 1.0, 1.5, 2, 3, 4, 6, 8, 12, 24 hours post-dose (for all participants) and 48 hours post-dose (for participants with moderate and severe renal impairment)

Population: The PK parameter analysis population included all treated participants who had at least 1 of the PK parameters of interest in at least 1 treatment period.

ArmMeasureValue (MEDIAN)Dispersion
CP-70,429 (800 mg): Normal Renal FunctionTime to Reach Maximum Observed Plasma Concentration (Tmax) of CP-70429 Following PF-03709270 Oral Dose1.50 hoursFull Range 11
CP-70,429 (800 mg): Mild Renal ImpairmentTime to Reach Maximum Observed Plasma Concentration (Tmax) of CP-70429 Following PF-03709270 Oral Dose2.50 hoursFull Range 15
CP-70,429 (800 mg): Moderate Renal ImpairmentTime to Reach Maximum Observed Plasma Concentration (Tmax) of CP-70429 Following PF-03709270 Oral Dose1.50 hoursFull Range 23
CP-70,429 (200 mg): Severe Renal ImpairmentTime to Reach Maximum Observed Plasma Concentration (Tmax) of CP-70429 Following PF-03709270 Oral Dose2.50 hoursFull Range 26
Secondary

Apparent Oral Clearance (CL/F)

Clearance of a drug is a measure of the rate at which a drug is metabolized or eliminated by normal biological processes. Clearance obtained after oral dose (apparent oral clearance) is influenced by the fraction of the dose absorbed. Drug clearance is a quantitative measure of the rate at which a drug substance is removed from the blood. It was calculated by dividing the given oral dose by AUCinf. AUC inf is the area under the plasma concentration versus time curve (AUC) from time zero (pre-dose) to extrapolated infinite time (0-inf). It is obtained from AUC (0-t) plus AUC (t-inf).

Time frame: 0 (pre-dose), 0.5, 1.0, 1.5, 2, 3, 4, 6, 8, 12, 24 hours post-dose (for all participants) and 48 hours post-dose (for participants with moderate and severe renal impairment)

Population: The PK parameter analysis population included all treated participants who had at least 1 of the PK parameters of interest in at least 1 treatment period.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
CP-70,429 (800 mg): Normal Renal FunctionApparent Oral Clearance (CL/F)153.5 L/hrStandard Deviation 31.54
CP-70,429 (800 mg): Mild Renal ImpairmentApparent Oral Clearance (CL/F)73.20 L/hrStandard Deviation 24.115
CP-70,429 (800 mg): Moderate Renal ImpairmentApparent Oral Clearance (CL/F)43.38 L/hrStandard Deviation 19.719
CP-70,429 (200 mg): Severe Renal ImpairmentApparent Oral Clearance (CL/F)20.86 L/hrStandard Deviation 6.8699
Secondary

Clearance (CL)

Clearance of a drug is a measure of the rate at which a drug is metabolized or eliminated by normal biological processes. It was calculated by dividing given intravenous dose by AUC inf. AUC inf is the area under the plasma concentration versus time curve (AUC) from time zero (pre-dose) to extrapolated infinite time (0-inf). It is obtained from AUC (0-t) plus AUC (t-inf).

Time frame: 0 (pre-dose), 0.5, 1.0, 1.5, 2, 3, 4, 6, 8, 12, 24 hours post-dose (for all participants) and 48 hours post-dose (for participants with moderate and severe renal impairment)

Population: The PK parameter analysis population included all treated participants who had at least 1 of the PK parameters of interest in at least 1 treatment period.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
CP-70,429 (800 mg): Normal Renal FunctionClearance (CL)24.87 L/hrStandard Deviation 3.9001
CP-70,429 (800 mg): Mild Renal ImpairmentClearance (CL)14.79 L/hrStandard Deviation 2.6787
CP-70,429 (800 mg): Moderate Renal ImpairmentClearance (CL)10.01 L/hrStandard Deviation 3.7432
CP-70,429 (200 mg): Severe Renal ImpairmentClearance (CL)5.648 L/hrStandard Deviation 1.25
Secondary

Concentration Versus Time Summary of 2-Ethylbutyric Acid

Concentration versus time summary was calculated by setting concentration values below the lower limit of quantification (LLQ =100 ng/mL) to zero. Summary statistics were not to be presented if number of observations above lower limit of quantification (NALQ) =0.

Time frame: 1, 3, 8 hours post-dose

Population: The PK parameter analysis population included all treated participants who had at least 1 of the PK parameters of interest in at least 1 treatment period.

ArmMeasureGroupValue (MEAN)Dispersion
CP-70,429 (800 mg): Normal Renal FunctionConcentration Versus Time Summary of 2-Ethylbutyric Acid1 hour46.38 hoursStandard Deviation 96.048
CP-70,429 (800 mg): Normal Renal FunctionConcentration Versus Time Summary of 2-Ethylbutyric Acid3 hours20.00 hoursStandard Deviation 56.569
CP-70,429 (800 mg): Normal Renal FunctionConcentration Versus Time Summary of 2-Ethylbutyric Acid8 hoursNA hours
CP-70,429 (800 mg): Mild Renal ImpairmentConcentration Versus Time Summary of 2-Ethylbutyric Acid3 hours17.63 hoursStandard Deviation 49.851
CP-70,429 (800 mg): Mild Renal ImpairmentConcentration Versus Time Summary of 2-Ethylbutyric Acid1 hour19.00 hoursStandard Deviation 53.74
CP-70,429 (800 mg): Mild Renal ImpairmentConcentration Versus Time Summary of 2-Ethylbutyric Acid8 hoursNA hours
CP-70,429 (800 mg): Moderate Renal ImpairmentConcentration Versus Time Summary of 2-Ethylbutyric Acid1 hour15.25 hoursStandard Deviation 43.134
CP-70,429 (800 mg): Moderate Renal ImpairmentConcentration Versus Time Summary of 2-Ethylbutyric Acid3 hoursNA hours
CP-70,429 (800 mg): Moderate Renal ImpairmentConcentration Versus Time Summary of 2-Ethylbutyric Acid8 hoursNA hours
CP-70,429 (200 mg): Severe Renal ImpairmentConcentration Versus Time Summary of 2-Ethylbutyric Acid3 hoursNA hours
CP-70,429 (200 mg): Severe Renal ImpairmentConcentration Versus Time Summary of 2-Ethylbutyric Acid8 hoursNA hours
CP-70,429 (200 mg): Severe Renal ImpairmentConcentration Versus Time Summary of 2-Ethylbutyric Acid1 hourNA hours
Secondary

Concentration Versus Time Summary of Plasma Formate

Concentration versus time summary was calculated by setting concentration values below the lower limit of quantification (LLQ =100 ng/mL) to zero. Summary statistics were not to be presented if number of observations above lower limit of quantification (NALQ) =0.

Time frame: 1, 3, 8 hours post-dose

Population: The PK parameter analysis population included all treated participants who had at least 1 of the PK parameters of interest in at least 1 treatment period.

ArmMeasureGroupValue (MEAN)
CP-70,429 (800 mg): Normal Renal FunctionConcentration Versus Time Summary of Plasma Formate1 hourNA hours
CP-70,429 (800 mg): Normal Renal FunctionConcentration Versus Time Summary of Plasma Formate3 hoursNA hours
CP-70,429 (800 mg): Normal Renal FunctionConcentration Versus Time Summary of Plasma Formate8 hoursNA hours
CP-70,429 (800 mg): Mild Renal ImpairmentConcentration Versus Time Summary of Plasma Formate3 hoursNA hours
CP-70,429 (800 mg): Mild Renal ImpairmentConcentration Versus Time Summary of Plasma Formate1 hourNA hours
CP-70,429 (800 mg): Mild Renal ImpairmentConcentration Versus Time Summary of Plasma Formate8 hoursNA hours
CP-70,429 (800 mg): Moderate Renal ImpairmentConcentration Versus Time Summary of Plasma Formate1 hourNA hours
CP-70,429 (800 mg): Moderate Renal ImpairmentConcentration Versus Time Summary of Plasma Formate3 hoursNA hours
CP-70,429 (800 mg): Moderate Renal ImpairmentConcentration Versus Time Summary of Plasma Formate8 hoursNA hours
CP-70,429 (200 mg): Severe Renal ImpairmentConcentration Versus Time Summary of Plasma Formate3 hoursNA hours
CP-70,429 (200 mg): Severe Renal ImpairmentConcentration Versus Time Summary of Plasma Formate8 hoursNA hours
CP-70,429 (200 mg): Severe Renal ImpairmentConcentration Versus Time Summary of Plasma Formate1 hourNA hours
Secondary

Duration of Plasma Concentrations of CP-70429 Exceeding 0.5 Microgram Per Milliliter Following Intravenous Dose

Duration was calculated by subtracting the time at which the plasma concentrations exceeded 0.5 microgram per milliliter (mcg/mL) at the ascending part of the concentration-time profile from the time at which the plasma concentrations fell below 0.5 mcg/mL at the descending part of the profile. If these times fell between 2 observed concentrations, a method of linear interpolation was used for best estimation.

Time frame: 0 (pre-dose), 0.5, 1.0, 1.5, 2, 3, 4, 6, 8, 12, 24 hours post-dose (for all participants) and 48 hours post-dose (for participants with moderate and severe renal impairment)

Population: The PK parameter analysis population included all treated participants who had at least 1 of the PK parameters of interest in at least 1 treatment period.

ArmMeasureValue (MEDIAN)Dispersion
CP-70,429 (800 mg): Normal Renal FunctionDuration of Plasma Concentrations of CP-70429 Exceeding 0.5 Microgram Per Milliliter Following Intravenous Dose5.310 hoursFull Range 0.641
CP-70,429 (800 mg): Mild Renal ImpairmentDuration of Plasma Concentrations of CP-70429 Exceeding 0.5 Microgram Per Milliliter Following Intravenous Dose8.855 hoursFull Range 1.542
CP-70,429 (800 mg): Moderate Renal ImpairmentDuration of Plasma Concentrations of CP-70429 Exceeding 0.5 Microgram Per Milliliter Following Intravenous Dose11.40 hoursFull Range 3.389
CP-70,429 (200 mg): Severe Renal ImpairmentDuration of Plasma Concentrations of CP-70429 Exceeding 0.5 Microgram Per Milliliter Following Intravenous Dose10.70 hoursFull Range 4.009
Secondary

Duration of Plasma Concentrations of CP-70429 Exceeding 0.5 Microgram Per Milliliter Following PF-03709270 Oral Dose

Duration was calculated by subtracting the time at which the plasma concentrations exceeded 0.5 mcg/mL at the ascending part of the concentration-time profile from the time at which the plasma concentrations fell below 0.5 mcg/mL at the descending part of the profile. If these times fell between 2 observed concentrations, a method of linear interpolation was used for best estimation.

Time frame: 0 (pre-dose), 0.5, 1.0, 1.5, 2, 3, 4, 6, 8, 12, 24 hours post-dose (for all participants) and 48 hours post-dose (for participants with moderate and severe renal impairment)

Population: The PK parameter analysis population included all treated participants who had at least 1 of the PK parameters of interest in at least 1 treatment period.

ArmMeasureValue (MEDIAN)Dispersion
CP-70,429 (800 mg): Normal Renal FunctionDuration of Plasma Concentrations of CP-70429 Exceeding 0.5 Microgram Per Milliliter Following PF-03709270 Oral Dose3.915 hoursFull Range 0.121
CP-70,429 (800 mg): Mild Renal ImpairmentDuration of Plasma Concentrations of CP-70429 Exceeding 0.5 Microgram Per Milliliter Following PF-03709270 Oral Dose6.440 hoursFull Range 0.335
CP-70,429 (800 mg): Moderate Renal ImpairmentDuration of Plasma Concentrations of CP-70429 Exceeding 0.5 Microgram Per Milliliter Following PF-03709270 Oral Dose8.185 hoursFull Range 0.566
CP-70,429 (200 mg): Severe Renal ImpairmentDuration of Plasma Concentrations of CP-70429 Exceeding 0.5 Microgram Per Milliliter Following PF-03709270 Oral Dose18.30 hoursFull Range 0.832
Secondary

Duration of Plasma Concentrations of CP-70429 Exceeding 1.0 Microgram Per Milliliter Following Intravenous Dose

Duration was calculated by subtracting the time at which the plasma concentrations exceeded 1.0 mcg/mL at the ascending part of the concentration-time profile from the time at which the plasma concentrations fell below 1.0 mcg/mL at the descending part of the profile. If these times fell between 2 observed concentrations, a method of linear interpolation was used for best estimation.

Time frame: 0 (pre-dose), 0.5, 1.0, 1.5, 2, 3, 4, 6, 8, 12, 24 hours post-dose (for all participants) and 48 hours post-dose (for participants with moderate and severe renal impairment)

Population: The PK parameter analysis population included all treated participants who had at least 1 of the PK parameters of interest in at least 1 treatment period.

ArmMeasureValue (MEDIAN)Dispersion
CP-70,429 (800 mg): Normal Renal FunctionDuration of Plasma Concentrations of CP-70429 Exceeding 1.0 Microgram Per Milliliter Following Intravenous Dose3.935 hoursFull Range 0.461
CP-70,429 (800 mg): Mild Renal ImpairmentDuration of Plasma Concentrations of CP-70429 Exceeding 1.0 Microgram Per Milliliter Following Intravenous Dose7.190 hoursFull Range 0.849
CP-70,429 (800 mg): Moderate Renal ImpairmentDuration of Plasma Concentrations of CP-70429 Exceeding 1.0 Microgram Per Milliliter Following Intravenous Dose9.240 hoursFull Range 2.161
CP-70,429 (200 mg): Severe Renal ImpairmentDuration of Plasma Concentrations of CP-70429 Exceeding 1.0 Microgram Per Milliliter Following Intravenous Dose7.710 hoursFull Range 2.304
Secondary

Duration of Plasma Concentrations of CP-70429 Exceeding 1.0 Microgram Per Milliliter Following PF-03709270 Oral Dose

Duration was calculated by subtracting the time at which the plasma concentrations exceeded 0.5 mcg/mL at the ascending part of the concentration-time profile from the time at which the plasma concentrations fell below 0.5 mcg/mL at the descending part of the profile. If these times fell between 2 observed concentrations, a method of linear interpolation was used for best estimation.

Time frame: 0 (pre-dose), 0.5, 1.0, 1.5, 2, 3, 4, 6, 8, 12, 24 hours post-dose (for all participants) and 48 hours post-dose (for participants with moderate and severe renal impairment)

Population: The PK parameter analysis population included all treated participants who had at least 1 of the PK parameters of interest in at least 1 treatment period.

ArmMeasureValue (MEDIAN)Dispersion
CP-70,429 (800 mg): Normal Renal FunctionDuration of Plasma Concentrations of CP-70429 Exceeding 1.0 Microgram Per Milliliter Following PF-03709270 Oral Dose2.895 hoursFull Range 0.121
CP-70,429 (800 mg): Mild Renal ImpairmentDuration of Plasma Concentrations of CP-70429 Exceeding 1.0 Microgram Per Milliliter Following PF-03709270 Oral Dose4.990 hoursFull Range 0.335
CP-70,429 (800 mg): Moderate Renal ImpairmentDuration of Plasma Concentrations of CP-70429 Exceeding 1.0 Microgram Per Milliliter Following PF-03709270 Oral Dose6.320 hoursFull Range 0.566
CP-70,429 (200 mg): Severe Renal ImpairmentDuration of Plasma Concentrations of CP-70429 Exceeding 1.0 Microgram Per Milliliter Following PF-03709270 Oral Dose12.15 hoursFull Range 0.832
Secondary

Number of Participants With 12-Lead Electrocardiogram (ECG) Abnormalities

Criteria for abnormal ECG (12-lead) values were defined as: maximum PR interval \>=300 millisecond (msec) and maximum increase of \>=25 percent for baseline value of \>200 msec and \>=50% for baseline value of \<=200 msec for PR interval, QRS interval \>=200 msec; QT interval corrected using the Fridericia formula (QTcF) \>=500 msec or increase of \>45 msec.

Time frame: Baseline up to 7-10 days after the last dose of study drug (up to 32 days)

Population: Safety analysis set included all participants who received the study medication.

ArmMeasureValue (NUMBER)
CP-70,429 (800 mg): Normal Renal FunctionNumber of Participants With 12-Lead Electrocardiogram (ECG) Abnormalities0 participants
CP-70,429 (800 mg): Mild Renal ImpairmentNumber of Participants With 12-Lead Electrocardiogram (ECG) Abnormalities3 participants
CP-70,429 (800 mg): Moderate Renal ImpairmentNumber of Participants With 12-Lead Electrocardiogram (ECG) Abnormalities0 participants
CP-70,429 (200 mg): Severe Renal ImpairmentNumber of Participants With 12-Lead Electrocardiogram (ECG) Abnormalities0 participants
CP-70,429 (200 mg): Severe Renal ImpairmentNumber of Participants With 12-Lead Electrocardiogram (ECG) Abnormalities3 participants
PF-03709270 (1000 mg): Normal Renal FunctionNumber of Participants With 12-Lead Electrocardiogram (ECG) Abnormalities1 participants
PF-03709270 (1000 mg): Mild Renal ImpairmentNumber of Participants With 12-Lead Electrocardiogram (ECG) Abnormalities4 participants
PF-03709270 (1000 mg): Moderate Renal ImpairmentNumber of Participants With 12-Lead Electrocardiogram (ECG) Abnormalities4 participants
PF-03709270 (1000 mg): Severe Renal ImpairmentNumber of Participants With 12-Lead Electrocardiogram (ECG) Abnormalities2 participants
Secondary

Number of Participants With Change From Baseline in Physical Examinations

Physical examination included examination of the skin, eyes, ears, throat, neck, and cardiac, respiratory, gastrointestinal and musculoskeletal systems. The examination assessed the participants for any potential changes in physical status, as determined by the investigator. Any untoward findings identified on physical exams conducted after the administration of the first dose of study medication was captured as an adverse event.

Time frame: Baseline, 7-10 days after the last dose of study drug

Population: Safety analysis set included all participants who received the study medication.

ArmMeasureValue (NUMBER)
CP-70,429 (800 mg): Normal Renal FunctionNumber of Participants With Change From Baseline in Physical Examinations0 participants
CP-70,429 (800 mg): Mild Renal ImpairmentNumber of Participants With Change From Baseline in Physical Examinations0 participants
CP-70,429 (800 mg): Moderate Renal ImpairmentNumber of Participants With Change From Baseline in Physical Examinations0 participants
CP-70,429 (200 mg): Severe Renal ImpairmentNumber of Participants With Change From Baseline in Physical Examinations0 participants
CP-70,429 (200 mg): Severe Renal ImpairmentNumber of Participants With Change From Baseline in Physical Examinations0 participants
PF-03709270 (1000 mg): Normal Renal FunctionNumber of Participants With Change From Baseline in Physical Examinations0 participants
PF-03709270 (1000 mg): Mild Renal ImpairmentNumber of Participants With Change From Baseline in Physical Examinations0 participants
PF-03709270 (1000 mg): Moderate Renal ImpairmentNumber of Participants With Change From Baseline in Physical Examinations0 participants
PF-03709270 (1000 mg): Severe Renal ImpairmentNumber of Participants With Change From Baseline in Physical Examinations0 participants
Secondary

Number of Participants With Laboratory Abnormalities

Criteria for laboratory test abnormality: Hematology (hemoglobin, hematocrit, red blood corpuscles \[RBC\] count: less than \[\<\]0.8\*lower limit of normal \[LLN\], platelets: \<0.5\*LLN/greater than \[\>\]1.75\*upper limit of normal \[ULN\], leukocytes: \<0.6\*LLN or \>1.5\*ULN, lymphocytes, total neutrophils: \<0.8\*LLN or \>1.2\*ULN, basophils, eosinophil, monocytes: \>1.2\*ULN); Liver Function (aspartate aminotransferase, alanine aminotransferase, alkaline phosphatase: \>0.3\*ULN, total protein, albumin: \<0.8\*LLN or \>1.2\*ULN); total bilirubin, direct bilirubin, indirect bilirubin: \>1.5\*ULN; Renal Function (blood urea nitrogen, creatinine: \>1.3\*ULN, uric acid: \>1.2\*ULN); Electrolytes (sodium: \<0.95\*LLN or \>1.05\*ULN, potassium, chloride, calcium, bicarbonate: \<0.9\*LLN or \>1.1\*ULN; creatine kinase: \>2.0\*ULN; glucose fasting: \<0.6\*LLN or \>1.5\*ULN, urine white blood corpuscles \[WBC\] and RBC: greater than or equal to (\>=) 6/High Power Field \[HPF\]).

Time frame: Baseline up to 7-10 days after the last dose of study drug (up to 32 days)

Population: Safety analysis set included all participants who received the study medication.

ArmMeasureValue (NUMBER)
CP-70,429 (800 mg): Normal Renal FunctionNumber of Participants With Laboratory Abnormalities2 participants
CP-70,429 (800 mg): Mild Renal ImpairmentNumber of Participants With Laboratory Abnormalities3 participants
CP-70,429 (800 mg): Moderate Renal ImpairmentNumber of Participants With Laboratory Abnormalities7 participants
CP-70,429 (200 mg): Severe Renal ImpairmentNumber of Participants With Laboratory Abnormalities1 participants
CP-70,429 (200 mg): Severe Renal ImpairmentNumber of Participants With Laboratory Abnormalities4 participants
PF-03709270 (1000 mg): Normal Renal FunctionNumber of Participants With Laboratory Abnormalities1 participants
PF-03709270 (1000 mg): Mild Renal ImpairmentNumber of Participants With Laboratory Abnormalities3 participants
PF-03709270 (1000 mg): Moderate Renal ImpairmentNumber of Participants With Laboratory Abnormalities8 participants
PF-03709270 (1000 mg): Severe Renal ImpairmentNumber of Participants With Laboratory Abnormalities4 participants
Secondary

Number of Participants With Treatment-Emergent Adverse Events (AEs) and Serious Adverse Events (SAEs)

An AE was any untoward medical occurrence in a participant who received study drug without regard to possibility of causal relationship. An SAE was an AE resulting in any of the following outcomes or deemed significant for any other reason: death; initial or prolonged inpatient hospitalization; life threatening experience (immediate risk of dying); persistent or significant disability/incapacity; congenital anomaly. Treatment-emergent are events between first dose of study drug and up to 7-10 days after last dose that were absent before treatment or that worsened relative to pre-treatment state.

Time frame: Baseline up to 7-10 days after the last dose of study drug (up to 32 days)

Population: Safety analysis set included all participants who received the study medication.

ArmMeasureGroupValue (NUMBER)Dispersion
CP-70,429 (800 mg): Normal Renal FunctionNumber of Participants With Treatment-Emergent Adverse Events (AEs) and Serious Adverse Events (SAEs)SAEs0 participants
CP-70,429 (800 mg): Normal Renal FunctionNumber of Participants With Treatment-Emergent Adverse Events (AEs) and Serious Adverse Events (SAEs)AEs5 participants 0.216
CP-70,429 (800 mg): Mild Renal ImpairmentNumber of Participants With Treatment-Emergent Adverse Events (AEs) and Serious Adverse Events (SAEs)SAEs0 participants
CP-70,429 (800 mg): Mild Renal ImpairmentNumber of Participants With Treatment-Emergent Adverse Events (AEs) and Serious Adverse Events (SAEs)AEs5 participants 0.586
CP-70,429 (800 mg): Moderate Renal ImpairmentNumber of Participants With Treatment-Emergent Adverse Events (AEs) and Serious Adverse Events (SAEs)AEs4 participants 0.269
CP-70,429 (800 mg): Moderate Renal ImpairmentNumber of Participants With Treatment-Emergent Adverse Events (AEs) and Serious Adverse Events (SAEs)SAEs0 participants
CP-70,429 (200 mg): Severe Renal ImpairmentNumber of Participants With Treatment-Emergent Adverse Events (AEs) and Serious Adverse Events (SAEs)AEs0 participants 0.579
CP-70,429 (200 mg): Severe Renal ImpairmentNumber of Participants With Treatment-Emergent Adverse Events (AEs) and Serious Adverse Events (SAEs)SAEs0 participants
CP-70,429 (200 mg): Severe Renal ImpairmentNumber of Participants With Treatment-Emergent Adverse Events (AEs) and Serious Adverse Events (SAEs)AEs3 participants 0.121
CP-70,429 (200 mg): Severe Renal ImpairmentNumber of Participants With Treatment-Emergent Adverse Events (AEs) and Serious Adverse Events (SAEs)SAEs1 participants
PF-03709270 (1000 mg): Normal Renal FunctionNumber of Participants With Treatment-Emergent Adverse Events (AEs) and Serious Adverse Events (SAEs)AEs6 participants 0.335
PF-03709270 (1000 mg): Normal Renal FunctionNumber of Participants With Treatment-Emergent Adverse Events (AEs) and Serious Adverse Events (SAEs)SAEs0 participants
PF-03709270 (1000 mg): Mild Renal ImpairmentNumber of Participants With Treatment-Emergent Adverse Events (AEs) and Serious Adverse Events (SAEs)AEs4 participants 0.566
PF-03709270 (1000 mg): Mild Renal ImpairmentNumber of Participants With Treatment-Emergent Adverse Events (AEs) and Serious Adverse Events (SAEs)SAEs0 participants
PF-03709270 (1000 mg): Moderate Renal ImpairmentNumber of Participants With Treatment-Emergent Adverse Events (AEs) and Serious Adverse Events (SAEs)AEs6 participants 0.831
PF-03709270 (1000 mg): Moderate Renal ImpairmentNumber of Participants With Treatment-Emergent Adverse Events (AEs) and Serious Adverse Events (SAEs)SAEs0 participants
PF-03709270 (1000 mg): Severe Renal ImpairmentNumber of Participants With Treatment-Emergent Adverse Events (AEs) and Serious Adverse Events (SAEs)SAEs0 participants
PF-03709270 (1000 mg): Severe Renal ImpairmentNumber of Participants With Treatment-Emergent Adverse Events (AEs) and Serious Adverse Events (SAEs)AEs3 participants
Secondary

Number of Participants With Vital Sign Abnormalities

Criteria for vital signs abnormalities included supine/sitting pulse rate of \<40 beats per minute (bpm) or \>120 bpm, supine systolic blood pressure (SBP) of \<90 millimeter of mercury (mmHg), \>=30 mmHg maximum increase and decrease from baseline in same posture, supine diastolic blood pressure (DBP) of \<50 mmHg, \>=20 mmHg maximum increase and decrease from baseline in same posture, heart rate \<=45 beats per minute (bpm) or \>=120 bpm or decrease/increase of \>=15 bpm.

Time frame: Baseline up to 7-10 days after the last dose of study drug (up to 32 days)

Population: Safety analysis set included all participants who received the study medication.

ArmMeasureValue (NUMBER)
CP-70,429 (800 mg): Normal Renal FunctionNumber of Participants With Vital Sign Abnormalities0 participants
CP-70,429 (800 mg): Mild Renal ImpairmentNumber of Participants With Vital Sign Abnormalities0 participants
CP-70,429 (800 mg): Moderate Renal ImpairmentNumber of Participants With Vital Sign Abnormalities1 participants
CP-70,429 (200 mg): Severe Renal ImpairmentNumber of Participants With Vital Sign Abnormalities0 participants
CP-70,429 (200 mg): Severe Renal ImpairmentNumber of Participants With Vital Sign Abnormalities1 participants
PF-03709270 (1000 mg): Normal Renal FunctionNumber of Participants With Vital Sign Abnormalities0 participants
PF-03709270 (1000 mg): Mild Renal ImpairmentNumber of Participants With Vital Sign Abnormalities1 participants
PF-03709270 (1000 mg): Moderate Renal ImpairmentNumber of Participants With Vital Sign Abnormalities2 participants
PF-03709270 (1000 mg): Severe Renal ImpairmentNumber of Participants With Vital Sign Abnormalities0 participants
Secondary

Pharmacokinetics of CP-70429 and PF-03709270 Metabolites

PF-03709270 is an oral prodrug of CP-70,429. Upon oral absorption, PF-03709270 is rapidly hydrolyzed, yielding the active drug CP-70,429 and metabolites.

Time frame: 0.5, 2, 4, 8, 12, 24 hours post-dose (for all participants) and 48 hours post-dose (for participants with moderate and severe renal impairment)

Population: Data was not collected for this outcome because the metabolite data for CP-70,429 and PF-03709270 were not analyzed as per change in planned analysis

Secondary

Terminal Elimination Half Life (t1/2) of CP-70429 Following CP-70,429 Intravenous Dose

Terminal elimination half-life is the time measured for the plasma concentration to decrease by one half.

Time frame: 0 (pre-dose), 0.5, 1.0, 1.5, 2, 3, 4, 6, 8, 12, 24 hours post-dose (for all participants) and 48 hours post-dose (for participants with moderate and severe renal impairment)

Population: The PK parameter analysis population included all treated participants who had at least 1 of the PK parameters of interest in at least 1 treatment period.

ArmMeasureValue (MEAN)Dispersion
CP-70,429 (800 mg): Normal Renal FunctionTerminal Elimination Half Life (t1/2) of CP-70429 Following CP-70,429 Intravenous Dose1.034 hoursStandard Deviation 0.216
CP-70,429 (800 mg): Mild Renal ImpairmentTerminal Elimination Half Life (t1/2) of CP-70429 Following CP-70,429 Intravenous Dose1.660 hoursStandard Deviation 0.586
CP-70,429 (800 mg): Moderate Renal ImpairmentTerminal Elimination Half Life (t1/2) of CP-70429 Following CP-70,429 Intravenous Dose1.823 hoursStandard Deviation 0.269
CP-70,429 (200 mg): Severe Renal ImpairmentTerminal Elimination Half Life (t1/2) of CP-70429 Following CP-70,429 Intravenous Dose2.313 hoursStandard Deviation 0.579
Secondary

Terminal Elimination Half Life (t1/2) of CP-70429 Following PF-03709270 Oral Dose

Terminal elimination half-life is the time measured for the plasma concentration to decrease by one half.

Time frame: 0 (pre-dose), 0.5, 1.0, 1.5, 2, 3, 4, 6, 8, 12, 24 hours post-dose (for all participants) and 48 hours post-dose (for participants with moderate and severe renal impairment)

Population: The PK parameter analysis population included all treated participants who had at least 1 of the PK parameters of interest in at least 1 treatment period.

ArmMeasureValue (MEAN)Dispersion
CP-70,429 (800 mg): Normal Renal FunctionTerminal Elimination Half Life (t1/2) of CP-70429 Following PF-03709270 Oral Dose0.837 hoursStandard Deviation 0.121
CP-70,429 (800 mg): Mild Renal ImpairmentTerminal Elimination Half Life (t1/2) of CP-70429 Following PF-03709270 Oral Dose1.451 hoursStandard Deviation 0.335
CP-70,429 (800 mg): Moderate Renal ImpairmentTerminal Elimination Half Life (t1/2) of CP-70429 Following PF-03709270 Oral Dose1.809 hoursStandard Deviation 0.566
CP-70,429 (200 mg): Severe Renal ImpairmentTerminal Elimination Half Life (t1/2) of CP-70429 Following PF-03709270 Oral Dose2.750 hoursStandard Deviation 0.832

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026